| NPI | 1588208466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MP00620200) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2025-01-14 |