| NPI | 1992321152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 05446) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT020407) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-10-23 |