| NPI | 1982809497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 255061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255061) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2016-02-16 |