| NPI | 1417210394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09251300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 265446-1) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2025-04-28 |