| NPI | 1427132943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NJ 25MP00169000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00169000) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-11-04 |