| NPI | 1790758621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC DO034801) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 058101) |
| 207P00000X Emergency Medicine (Licence: NY 2248081) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2023-02-16 |