| NPI | 1659010635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT021755) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS024115) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-09-11 |