| NPI | 1285154633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 282154) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT214397) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-02-14 |