| NPI | 1114589140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 95269) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11415500) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2025-09-30 |