| NPI | 1679860621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 272879) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10791800) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2025-03-10 |