| NPI | 1538430707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2020-04181) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 264260) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA09036000) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-11-07 |