| NPI | 1588805303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 64349) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 250789-1) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2012-07-16 |