| NPI | 1811301351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2019-0578) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT206584) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2019-07-11 |