| NPI | 1720305337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS016484) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013520) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2020-02-12 |