| NPI | 1679793889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 172556) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 172556) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2021-01-22 |