| NPI | 1760629034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 270542) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB08909200) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2014-04-17 |