| NPI | 1760703714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME139882) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 274473) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2019-08-16 |