| NPI | 1720296817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 34252) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 243255) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2021-01-12 |