| NPI | 1093197014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018966) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT016544) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-07-10 |