| NPI | 1891137360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 271435-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 271435) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2015-08-01 |