| NPI | 1649964982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS025062) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT022347) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-09-15 |