| NPI | 1366174930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT225735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 51496) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-06-17 |