NPI | 1124553482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 302158) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11753500) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2023-11-10 |