| NPI | 1760743322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0062818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT201921) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2021-10-12 |