| NPI | 1548290836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.064781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME136365) |
| 207P00000X Emergency Medicine (Licence: NY 193813) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-05-19 |