| NPI | 1679668412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0069854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA07575000) |
| 207P00000X Emergency Medicine (Licence: DE C1-0009267) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-05-14 |