| NPI | 1164805271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10643500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT209751) |
| 207P00000X Emergency Medicine (Licence: PA MD462711) | |
| 207P00000X Emergency Medicine (Licence: NY 305283-01) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-06-05 |