| NPI | 1497799159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD436762) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 230084-0) |
| 207P00000X Emergency Medicine (Licence: TN 43401) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-05-17 |