| NPI | 1972948222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A169089) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A169089) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA10112400) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-03-23 |