| NPI | 1255668083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 7501) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT194606) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2014-08-07 |