| NPI | 1164520664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0059185) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 225115) |
| 207R00000X Internal Medicine (Licence: MD D0059185) | |
| 207R00000X Internal Medicine (Licence: NY 225115) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |