| NPI | 1508569153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 032.0134319) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 344402) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-07-14 |