| NPI | 1679749675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101255633) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 248444) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101255633) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2025-08-26 |