| NPI | 1972546836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2009-01851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD059891L) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-09-04 |