| NPI | 1902211360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD458979) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT205987) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2018-10-24 |