| NPI | 1750760625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10763800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 304765) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2025-08-13 |