| NPI | 1821125899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0015002) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: ME MD23528) |
| 207P00000X Emergency Medicine (Licence: PA MD469629) | |
| 207P00000X Emergency Medicine (Licence: NH NH16303) | |
| 207P00000X Emergency Medicine (Licence: NY 241771) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-01-27 |