| NPI | 1801546791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0019233) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 342104) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-03-20 |