| NPI | 1831577402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 294887) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10561400) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2026-08-19 |