| NPI | 1699207605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 321505) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 66383) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-07-10 |