NPI | 1053706721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12380300) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 287090-1) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2024-10-30 |