| NPI | 1639708753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD224158) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 322401) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-07-28 |