| NPI | 1669733036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 277085) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10486700) |
| 207P00000X Emergency Medicine (Licence: MI 4301512187) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2024-05-15 |