| NPI | 1114123353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 265408) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD14107) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-08-06 |