| NPI | 1649620600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD18202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD465254) |
| 207P00000X Emergency Medicine (Licence: PA MT210745) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2026-02-12 |