| NPI | 1760776231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 69410) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 271420) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-07-12 |