| NPI | 1891756243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301070300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD438501) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-08-22 |