| NPI | 1083979249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10116500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 282788) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 773798169) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-03-17 |