| NPI | 1689001737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 313595) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012411) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2023-10-31 |