| NPI | 1700801172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0006413) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD-065553L) |
| 207P00000X Emergency Medicine (Licence: MD D0057476) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-05-21 |