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 |