| NPI | 1720664162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 327812) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1024345) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-11-11 |