| NPI | 1417537077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1020415) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT222797) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-03-21 |