| NPI | 1780944272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 273242) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S9850) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2023-09-14 |