| NPI | 1104487941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB11767900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019276) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-11-06 |