| NPI | 1114293321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0086152) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD454668) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-07-21 |