| NPI | 1407587579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 338564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 338564) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-08-08 |