| NPI | 1831394790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 256850) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2025042082) |
| 207P00000X Emergency Medicine (Licence: PA MD431320) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2025-11-03 |