| NPI | 1518371178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018686) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT015712) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2020-10-14 |