| NPI | 1891924056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018291) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS019511) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2023-01-24 |