| NPI | 1336168004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07460900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 221850-1) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-07-09 |