| NPI | 1720602873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD480702) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT221087) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2023-11-09 |