| NPI | 1487060976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MT206376) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 287648) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-06-29 |