| NPI | 1770678039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 236469-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07473600) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-11-12 |