| NPI | 1447702345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 302129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10043200) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-07-10 |