| NPI | 1629423959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB11494200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 05587) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2023-06-16 |