| NPI | 1821475567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT016308) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-10-27 |