| NPI | 1740480979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 75891) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT191348) |
| 207P00000X Emergency Medicine (Licence: PA MD438700) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-09-05 |