| NPI | 1558557769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 109639) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249123) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2025-11-07 |