| NPI | 1770313462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA SP030311) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP030311) |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-15 |