| NPI | 1669729810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 076884) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09865200) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-03-03 |