| NPI | 1316357239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 61855) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT205851) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2018-10-04 |