| NPI | 1992097364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD451215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT198941) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-07-01 |