| NPI | 1730329798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 154262) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 250627-1) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-07-26 |