| NPI | 1558982504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0071698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11962200) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-09-05 |