| NPI | 1265814511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 27424) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS018608) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-02-15 |