| NPI | 1902197320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0014100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 295348) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2025-07-03 |