| NPI | 1154850501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT017671) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102206822) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |