| NPI | 1679869903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2014-00741) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT200396) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-11-22 |