| NPI | 1649405077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 80641) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 268630) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2025-06-18 |