| NPI | 1124101878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 175844) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 175844) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-05-15 |