| NPI | 1467682617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 254034-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08622300) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |