| NPI | 1851565501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08443400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 239524) |
| 207P00000X Emergency Medicine (Licence: PA MD456526) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2020-09-17 |