| NPI | 1285829671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT183868) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0066980) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-10-31 |