| NPI | 1164415865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 224313) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08473100) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-07-24 |