| NPI | 1194409458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ P24-00663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 3015332) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-11-10 |