| 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 | 2026-01-01 |