| NPI | 1538514799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25IA12112000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 311831) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: LA 311831) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2024-05-06 |