| NPI | 1083974802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 073733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014622) |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2023-01-10 |