| NPI | 1881792729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2007-00834) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD-038926-E) |
| 207P00000X Emergency Medicine (Licence: NJ MA66791) | |
| 207Q00000X Family Medicine (Licence: PA MD-038926-E) | |
| 207R00000X Internal Medicine (Licence: NJ MA66791) | |
| 207R00000X Internal Medicine (Licence: NC 2007-00834) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-10-09 |