| NPI | 1225653587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB12081400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 73924) |
| 207P00000X Emergency Medicine (Licence: PA OS023653) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-09-11 |