| NPI | 1417193384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 246564) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB08527700) |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2010-10-27 |