| NPI | 1730196940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD434529) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09843300) |
| 207P00000X Emergency Medicine (Licence: MI 4301072579) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301072579) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-09-14 |