| NPI | 1710290259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ #39) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MB09426600) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2021-11-09 |