| NPI | 1689764250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.205012) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 190354-1) |
| 207P00000X Emergency Medicine (Licence: CT 044747) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-01-10 |