| NPI | 1184072290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 307614) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT210846) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-09-20 |