| NPI | 1275764581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 262634-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262634) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: NY 262634-1) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2025-05-19 |