| NPI | 1093815789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ MA07965100) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA07965100) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2020-12-14 |