| NPI | 1396034781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 10639) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD448552) |
| 207P00000X Emergency Medicine (Licence: PA MT197959) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-11-05 |