| NPI | 1649461708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT185290) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD433049) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-12-23 |