| NPI | 1801181979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD472847) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10036400) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-08-10 |