| NPI | 1699188292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 293357) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 287787-1) |
| 207P00000X Emergency Medicine (Licence: PA MT205999) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-06-02 |