| NPI | 1992967756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301097764) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT193437) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2021-12-17 |