| NPI | 1023211497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD467132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 260523) |
| 207P00000X Emergency Medicine (Licence: RI LP01208) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-03-15 |