| NPI | 1457972614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1018304) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019869) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-05-17 |