| NPI | 1659561769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101252051) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 241565) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2020-12-07 |