| NPI | 1831437243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 269943) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013109) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2015-01-12 |