| NPI | 1760705719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09176700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09176700) |
| 207P00000X Emergency Medicine (Licence: NY 60256157) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA09176700) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2021-06-03 |