| NPI | 1649768896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD474579) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 00000000) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2021-10-29 |