| NPI | 1336215516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 206418-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA06215400) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-07-16 |