| NPI | 1982285177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD481794) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT222319) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-07-26 |