| NPI | 1063724557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 39876) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013725) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-03-23 |