| NPI | 1922623602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H0100545) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019961) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-06-29 |