| NPI | 1033110853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08105800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD23964) |
| 207Q00000X Family Medicine (Licence: NJ 25MA08105800) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-06-09 |