| NPI | 1376289025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 52144) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25ma12681800) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2025-10-23 |