| NPI | 1639664659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT216666) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0093758) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2025-08-06 |