| NPI | 1083173900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11482700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11482700) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-06-09 |