| NPI | 1710166749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C138956) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 246488) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2021-11-22 |