| NPI | 1659790467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 293914) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.129762) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA11460000) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-03-07 |