| NPI | 1649351446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 19817) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VT 042.0014061) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NH 19817) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-09-06 |