| NPI | 1447388871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME102594) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08197100) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-11-06 |