| NPI | 1699974576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09731800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 258207) |
| 207P00000X Emergency Medicine (Licence: MA 249510) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2017-10-04 |