| NPI | 1750318077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 292078) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD418007) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-03-08 |