| NPI | 1558787648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 293739) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS018363) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-11-20 |