| NPI | 1649689571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: DE C1-0012124) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10332200) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2018-12-13 |