| NPI | 1215594254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11213200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.151474) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2024-08-09 |