| NPI | 1215465729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD470213) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT213450) |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2021-10-13 |