| NPI | 1649237678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 4630) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 209126) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-03-05 |