| NPI | 1275779316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS016041) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25mb09096700) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2025-09-02 |