| NPI | 1760911325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 309808) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: VT 042.0015322) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-06-07 |