| NPI | 1215291794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD453467) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT201875) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2020-01-06 |