| NPI | 1053014092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0040523) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 346427) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-07-31 |