| NPI | 1306045612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD435700) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MD435700) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-03-17 |