NPI | 1104486349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11427100) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT219110) |
Enumeration Date | 2019-06-19 |
Last Update Date | 2024-07-26 |