| NPI | 1730386152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0070842) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT190673) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-05-23 |