| NPI | 1508395955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS020346) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT017709) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |