| NPI | 1659668911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT014404) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OT014404) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-06-22 |