| NPI | 1720341092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2015025967) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 287593) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-06-29 |