| NPI | 1518912260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 150247) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NY 150247) |
| 207R00000X Internal Medicine (Licence: NY 150247) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-06-25 |