| NPI | 1508358821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS021485) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT018405) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2022-09-22 |