| NPI | 1770578221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA06942900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA06942900) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2015-01-05 |