| NPI | 1679968473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10953300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 312006) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ 89997442) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-07-23 |