| NPI | 1679558324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C54289) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 233844) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 233844) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2021-11-29 |