| NPI | 1922023829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 043282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 228105) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-11-04 |