| NPI | 1689691453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 170841-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J1673) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-02-16 |