| NPI | 1114669165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS026237) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 82259) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-07-01 |