NPI | 1447517511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10780800) |
Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NJ 25MB10780800) |
207P00000X Emergency Medicine (Licence: NY 272594) | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2020-12-02 |