| NPI | 1306256995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 080609) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT015685) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: GA 80609) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-07-29 |