| NPI | 1568112258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12562800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD489495) |
| 207P00000X Emergency Medicine (Licence: NJ P23-00796) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2025-07-02 |