| NPI | 1114151313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME172268) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MAO9293800) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2025-06-13 |