| NPI | 1710349113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 320781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102206342) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-03-23 |