| NPI | 1972793693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD432206) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT186032) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2015-02-03 |