| NPI | 1003252065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD182084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD455972) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2025-07-22 |