| NPI | 1760628333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 259447-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 7637528-1205) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2021-11-08 |