| NPI | 1164669925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 231778) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25mh08805500) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2012-01-09 |