| NPI | 1366882862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09285900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 270275-1) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2014-10-01 |