| NPI | 1215257084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH LT3980) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 256450) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2018-05-22 |