| NPI | 1801181904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD21026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD450106) |
| 207P00000X Emergency Medicine (Licence: PA MT199357) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-04-27 |