| NPI | 1518900695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB07335500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MB73355) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-07-01 |