| NPI | 1629095104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 294211) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC pending) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-07-24 |