| NPI | 1174939912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 292075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292075) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2021-04-05 |