| NPI | 1083805162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60081783) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT188059) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-02-25 |