| NPI | 1679541619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 218496) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 218496) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |