| NPI | 1073772505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD440238) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 440238) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA09038200) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-06-06 |