| NPI | 1891053146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 283039) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VT 042-0014434) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2025-03-26 |