| NPI | 1689940256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 270152) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MA 270152) |
| 207P00000X Emergency Medicine (Licence: PA MD452990) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-12-26 |