| NPI | 1750875233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 65722) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT216468) |
| 207P00000X Emergency Medicine (Licence: PA MD475161) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-07-07 |