| NPI | 1063469724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ MA06019000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME121581) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-08-29 |