| NPI | 1497119879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2020-01902) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT016916) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-11-28 |