| NPI | 1023671534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 316236) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS022361) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-01-12 |