| NPI | 1306041082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10544300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS015557) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2025-07-22 |