| NPI | 1851774228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018600) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: PA OS018600) |
| 207P00000X Emergency Medicine (Licence: GA 008044) | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2022-03-21 |