| NPI | 1972958692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 309819-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS019550) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2021-07-28 |