| NPI | 1962734913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08749400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA mt194312) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2019-10-23 |