| NPI | 1962766295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 53329) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 300544) |
| 207P00000X Emergency Medicine (Licence: NY 300544) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2023-12-01 |