| NPI | 1801215322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 286473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 3125) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2023-10-02 |