| NPI | 1376109751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 334817) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 1.073971) |
| Enumeration Date | 2019-05-12 |
| Last Update Date | 2025-08-19 |