| NPI | 1558774687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS19723) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB10248500) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-07-20 |