| NPI | 1275983066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD466317) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT210654) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-04-24 |