| NPI | 1518123512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD441263) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 257727) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-11-17 |