| NPI | 1780002915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10096700) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 243509) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-04-21 |