| NPI | 1710502315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ R80700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT221518) |
| 207P00000X Emergency Medicine (Licence: AZ 74471) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-08-26 |