| NPI | 1780846212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD443598) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 248808) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2011-08-30 |