| NPI | 1811511926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D96739) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT220908) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2023-06-20 |