| NPI | 1538152293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA05050300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA05050300) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-12-15 |