| NPI | 1770075756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT018514) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS020367) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-06-27 |