| NPI | 1245529866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 331871) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101258953) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2024-08-14 |