| NPI | 1962618066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0116016721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 255415) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-05-23 |