| NPI | 1780179986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA md473044) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25ma11071900) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2025-06-11 |