| NPI | 1174820302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25mb09283900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 264438) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2013-08-28 |