| NPI | 1912133810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09247300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 51520) |
| 207P00000X Emergency Medicine (Licence: NY 267682) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2020-10-28 |