| NPI | 1922493931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT016263) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A16611) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-10-27 |