| NPI | 1508271560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2022-01054) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 288807) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-01-17 |