| NPI | 1063940377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS020225) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT017574) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |