| NPI | 1891365540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12779800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT222588) |
| 207P00000X Emergency Medicine (Licence: NY 330459) | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2025-07-29 |