| NPI | 1902257041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 300077) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 300077) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2021-06-15 |