| NPI | 1518134196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 249460-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT011194) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-08-06 |