| NPI | 1740847078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD480253) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04569) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-07-14 |