| NPI | 1710149885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-34423) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY AM-9707805-3219) |
| 207P00000X Emergency Medicine (Licence: PA MT194084) | |
| 207P00000X Emergency Medicine (Licence: PA MD438010) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-09-24 |