| NPI | 1336768696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11799500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0026970) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2026-06-29 |