| NPI | 1922539964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 329866) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 146900) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-06-26 |