| NPI | 1962608521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS015691) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT011933) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2016-11-04 |