| NPI | 1861662884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: PA OS014103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A1174) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2018-09-26 |