| NPI | 1336760057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1017926) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019992) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-10-07 |