| NPI | 1144536665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 271416) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 271416) |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2016-05-13 |