| NPI | 1366971483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT018042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 20602) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-07-10 |