| NPI | 1992385371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD C08026) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 029671) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2024-01-23 |