| NPI | 1740542687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09470200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 265462) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2024-01-08 |