| NPI | 1013408699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME172898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2025-00695) |
| 207P00000X Emergency Medicine (Licence: NY p10099) | |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2025-11-21 |