| NPI | 1689834442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0012013) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 256697) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2025-12-23 |