| NPI | 1457319352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY D80059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 234490) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2017-04-04 |