| NPI | 1962759985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD454734) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101267012) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2022-04-29 |