| NPI | 1720180623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07345700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VT 042.0014627) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-08-20 |