| NPI | 1659955862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS022509) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT020775) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2023-03-31 |