| NPI | 1982925665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301104799) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT200585) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-11-01 |