| NPI | 1407281322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10207500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS018729) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2018-05-04 |