| NPI | 1699018390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME126848) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD457736) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2021-08-02 |