| NPI | 1578042685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 311565) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS23259) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2026-04-20 |