| NPI | 1700346962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U4131) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11329000) |
| 207P00000X Emergency Medicine (Licence: NY 318939-01) | |
| 207P00000X Emergency Medicine (Licence: NY 318393-01) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2023-10-10 |