| NPI | 1689991606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08747100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A117184) |
| 207P00000X Emergency Medicine (Licence: GA 66393) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2011-09-26 |