| NPI | 1164805271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 305283-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT209751) |
| 207P00000X Emergency Medicine (Licence: PA MD462711) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-10-02 |