| NPI | 1457693491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB11300600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS017761) |
| 207Q00000X Family Medicine (Licence: PA OS017761) | |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2022-01-10 |