| NPI | 1083095475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10306300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT208739) |
| 207P00000X Emergency Medicine (Licence: PA MD462673) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2025-10-14 |