| NPI | 1346310216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 257965) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 257965) |
| 207Q00000X Family Medicine (Licence: NY 257965) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-12-29 |