| NPI | 1235395401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08444800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263850) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2012-07-30 |