| NPI | 1629238522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 246973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 2469731) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2024-01-12 |