| NPI | 1194770396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA06800700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD071024L) |
| 208D00000X General Practice (Licence: NJ 25MA06800700) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-06-18 |