| NPI | 1699934240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 010724) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS015520) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2025-12-17 |