| NPI | 1003519364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 34161401) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA12847700) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2026-07-07 |