| NPI | 1215255013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09143300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 2937951) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2018-05-05 |