| NPI | 1396957650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09473900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS014697) |
| 207P00000X Emergency Medicine (Licence: PA OT011762) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-10-28 |