| NPI | 1598910911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 270884) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101249441) |
| 207P00000X Emergency Medicine (Licence: PA MD438784) | |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2013-11-21 |