| NPI | 1619407772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD468708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT214210) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-06-02 |