| NPI | 1780896167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MD432757) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD432757) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2010-07-21 |