| NPI | 1427288109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS16360) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB09252800) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-03-18 |