| NPI | 1023700846 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS024735)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT022362)  | 
| Enumeration Date | 2023-05-22 | 
| Last Update Date | 2025-05-15 |