| NPI | 1598990186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR 171869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263533) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2015-07-23 |