NPI | 1992118459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 335711) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS019170) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2025-07-15 |