| NPI | 1013144815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09237100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS020092) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2024-01-15 |