| NPI | 1760702799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-17987) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT196701) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2016-01-10 |