| NPI | 1023678067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD476074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT217858) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-12-19 |