| NPI | 1518315720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS019230) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102206017) |
| 207P00000X Emergency Medicine (Licence: PA OT016997) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2021-07-10 |