| NPI | 1609375864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11124800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD470753) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2021-12-28 |