| NPI | 1376761809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 148484) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 148484) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2007-12-19 |