| NPI | 1467718015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 153789) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD454777) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-06-26 |