| NPI | 1588681118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101225625) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 218131) | 
| Enumeration Date | 2006-07-17 | 
| Last Update Date | 2022-08-12 |