| NPI | 1053803577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS021713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H90567) |
| 207P00000X Emergency Medicine (Licence: PA OT018396) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-01-18 |