NPI | 1912566837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11833800) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT218685) |
Enumeration Date | 2019-06-13 |
Last Update Date | 2023-09-22 |