| NPI | 1134538929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A17543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25mb10248400) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-10-17 |