| NPI | 1598706764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME161453) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD424869) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-09-23 |