| NPI | 1649839523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2022-00641) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT217943) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2022-11-17 |