| NPI | 1659639086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101262764) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 282696-1) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 282696) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-01-06 |