| NPI | 1902391600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25mb10945000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1020492) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-07-19 |