| NPI | 1760825673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 288196) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0081444) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-06-29 |