| NPI | 1730447269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09131300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 287528) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: NJ 25MA09131300) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2017-01-31 |