| NPI | 1578761243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV MD-54381) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT190909) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2025-04-21 |