| NPI | 1679708895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0073444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT194568) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2018-07-31 |