| NPI | 1194130260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10187000) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MB10187000) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2025-02-07 |