| NPI | 1871856260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 281390) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD452727) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-11-30 |