| NPI | 1578941167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018796) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 30133-01) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2021-07-15 |