| NPI | 1568656270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08807200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ FV2419554) |
| 208000000X Pediatrics (Licence: NJ 25MA08807200) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2023-06-09 |