| NPI | 1306124466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018929) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 262316-1) |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2019-06-10 |