| NPI | 1316107808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09247500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD441252) |
| 207P00000X Emergency Medicine (Licence: MI 4301105498) | |
| 207P00000X Emergency Medicine (Licence: PA MT193757) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-03-21 |