| NPI | 1689014631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD468173) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301103977) |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2020-02-19 |