| NPI | 1750510673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 054279) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 265696) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2015-09-28 |