| NPI | 1104052794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB12688800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS023866) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2025-09-02 |