| NPI | 1164816286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 297469) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 306470) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-09-18 |