| NPI | 1982169876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME167141) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 327855) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2024-05-30 |