| NPI | 1982834768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09297600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013244) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2016-09-15 |