| NPI | 1891923884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09708600) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT013288) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2019-01-14 |