| NPI | 1114407046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11021400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0024805) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2025-08-20 |