| NPI | 1770683104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD447883) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 37037) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-08-04 |