| NPI | 1760543102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD433069) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT186831) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-06-16 |