| NPI | 1679769111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 243218) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08221300) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2025-09-10 |