| NPI | 1790196335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 293638) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11011800) |
| 207P00000X Emergency Medicine (Licence: KY 61123) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-11-04 |