| NPI | 1972501146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD426441) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101254402) |
| 207P00000X Emergency Medicine (Licence: MD D0063154) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-02-13 |