| NPI | 1760644850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 2647861) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA PGY.1.LSUN-EM) |
| 207P00000X Emergency Medicine (Licence: LA 203705) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2012-09-11 |