| NPI | 1760628341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 264479-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 112685) |
| Enumeration Date | 2009-01-01 |
| Last Update Date | 2012-08-29 |