| NPI | 1053622621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10080200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 274243) |
| 207P00000X Emergency Medicine (Licence: CA A127037) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-05-15 |