| NPI | 1952592982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 56377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD435654) |
| 207P00000X Emergency Medicine (Licence: PA MT188057) | |
| 207P00000X Emergency Medicine (Licence: KY 44656) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2016-05-15 |