| NPI | 1104023472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10905600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 2689211) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-03-21 |