| NPI | 1386292720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY NY345150) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 697036) |
| 207Q00000X Family Medicine (Licence: NY 345150) | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-03-08 |