| NPI | 1710290572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS11999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 260255) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2022-03-15 |