| NPI | 1699093096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 03781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013630) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2022-07-12 |