| NPI | 1366015968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2025-02265) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY P110886) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2025-08-30 |