| NPI | 1689934218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60791859) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 280911) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2018-05-18 |