| NPI | 1629129820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0009572) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 206794) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2011-07-13 |