| NPI | 1598327546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2023-01616) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019641) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2023-09-17 |