| NPI | 1336190743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 23MA06933300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 051675) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-12-03 |