| NPI | 1376960484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 305554) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 61316) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-04-11 |