| NPI | 1104310119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD474403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216709) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2025-03-19 |