| NPI | 1902890759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 209345) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB06993400) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-08-20 |