| NPI | 1528242765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H006810) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT011586) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2010-04-14 |