| NPI | 1306343777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD476474) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101272102) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-12-28 |