| NPI | 1629031877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD477913) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35075238) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2022-05-18 |