| NPI | 1114247566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO2537) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013357) |
| 207R00000X Internal Medicine (Licence: PA OT013357) | |
| 207P00000X Emergency Medicine (Licence: PA OS015723) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2019-04-16 |