| NPI | 1841356219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD459803) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 206888) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA08824500) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-01-06 |