| NPI | 1821668815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT224202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A183392) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2026-01-05 |