| NPI | 1124481361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10553000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 298170-1) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-10-22 |