| NPI | 1780892679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 301734) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 244045-1) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-10-20 |