| NPI | 1609224716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS020152) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT017135) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-07-31 |