| NPI | 1427414077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME159709) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 304886) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2023-02-22 |