NPI | 1629423959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB11494200) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 05587) |
Enumeration Date | 2016-04-23 |
Last Update Date | 2023-06-16 |