| NPI | 1871720649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2025012634) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB09138500) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2025-05-15 |