| NPI | 1639306574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 40052) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT195684) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2012-10-17 |