| NPI | 1205012622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 237287) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 237287) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2025-10-24 |