| NPI | 1558686956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 57222) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 268576) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2018-03-17 |