| NPI | 1972082808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD484808) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D90990) |
| 207P00000X Emergency Medicine (Licence: DE C1-0026617) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2025-07-08 |