| NPI | 1063707347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS016612) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB09907500) |
| 207P00000X Emergency Medicine (Licence: IN 02005389A) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-05-08 |