| NPI | 1811139454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.204333) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 269756-1) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2016-01-08 |