| NPI | 1134861693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12712200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT225198) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2025-07-09 |