| NPI | 1134858079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT021901) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM DO2025-0125) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-08-24 |