| NPI | 1497957625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 61615) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 24333) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-12-04 |