| NPI | 1174787154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 254798) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TX P0755) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2019-03-06 |