| NPI | 1275158107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD214671) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT220989) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-07-12 |