NPI | 1992758932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB08067200) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 237667) |
207P00000X Emergency Medicine (Licence: NJ 25MB08067200) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2015-06-08 |