| NPI | 1568447787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08302600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 165658) |
| 207P00000X Emergency Medicine (Licence: NY 231906) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2022-11-15 |