| NPI | 1396005708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS017455) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014521) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2016-04-07 |