| NPI | 1497070833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0012662) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 340590) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2025-12-10 |