| NPI | 1639196264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD20760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101238130) |
| 207P00000X Emergency Medicine (Licence: NY 235296) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-03-22 |