| NPI | 1568037331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT020893) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA HS000009L) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2022-06-24 |