| NPI | 1043693518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD462026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT208771) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2019-04-03 |