| NPI | 1184208720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS025824) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 32843301) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2026-05-29 |