| NPI | 1871603027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA03811400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 149857-1) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-03-01 |