| NPI | 1972585438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 35290) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263354) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-06-15 |