| NPI | 1477590875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 189977) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA0587000) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-09-30 |