| NPI | 1073770699 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS015469)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT012620)  | 
| Enumeration Date | 2008-05-21 | 
| Last Update Date | 2016-03-29 |