| NPI | 1194761114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07897600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA78976) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-06-18 |