| NPI | 1538613468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 21909) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 299368) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2020-08-21 |