| NPI | 1033651039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA TMD005231) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101058531) |
| 207P00000X Emergency Medicine (Licence: NH 19346) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2021-03-05 |