| NPI | 1225464860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10012400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R5561) |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2019-03-05 |