| NPI | 1518266717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD454944) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A124288) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MT207883) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2015-07-21 |