| NPI | 1164614830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 225277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 225277) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-04-02 |