| NPI | 1316255854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 80174) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 259148) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MD447350) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2022-06-08 |