| NPI | 1861703852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2013-01439) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT198321) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2019-04-22 |