| NPI | 1962761957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD463906) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0079949) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2018-08-03 |