| NPI | 1568408318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 222710) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA TMD004262) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-01-13 |