| NPI | 1033347083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 39231) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013177) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2020-12-07 |