| NPI | 1962575647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C154183) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 210546) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA C154183) | |
| 363A00000X Physician Assistant (Licence: NJ 25MA09628000) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2024-03-22 |