| NPI | 1023186624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB06493500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 213000) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NJ 25mb06493500) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-06-08 |