| NPI | 1811212939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME114055) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09532600) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2018-12-14 |