| NPI | 1154947141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2023-01269) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019850) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-08-15 |