| NPI | 1548425259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 14028) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT192559) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-08-22 |