| NPI | 1760685952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD460873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0003813) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-07-21 |