| NPI | 1780032904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS019368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT016903) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2020-09-01 |