| NPI | 1750308342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 22762) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 39379) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-02-19 |