| NPI | 1952781015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB10806600) |
| 207R00000X Internal Medicine (Licence: NJ 25MB10806600) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-09-03 |