| NPI | 1235445537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME115159) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT197692) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2024-06-20 |