| NPI | 1023472701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 62469) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11143300) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-11-08 |