NPI | 1225443666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD465692) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT206026) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2021-06-10 |