| NPI | 1477524791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 217829) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME0076924) |
| 207Q00000X Family Medicine (Licence: NY 217829) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-09-15 |