| NPI | 1124280391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD443518) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 260276) |
| 207P00000X Emergency Medicine (Licence: CA C156148) | |
| 207P00000X Emergency Medicine (Licence: PA 443518) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2026-01-08 |