| NPI | 1528645678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 344293) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA12177800) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-07-22 |