| NPI | 1922488873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D86892) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT208568) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-11-04 |