| NPI | 1649665456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD470237) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101266812) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-06-01 |