| NPI | 1548553993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 56261) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 275779) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-05-05 |