| NPI | 1265649495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 240925) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25mb08171800) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-12-09 |