| NPI | 1205891405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 237645) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 237645) |
| 207P00000X Emergency Medicine (Licence: NY 237645) | |
| 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: NY 237645) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 237645) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 237645) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-06-03 |