| NPI | 1255593646 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61682674)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 116020786)  | 
| 207P00000X Emergency Medicine (Licence: VA 0101249669)  | |
| 207P00000X Emergency Medicine (Licence: NV 26298)  | |
| 208M00000X Hospitalist (Licence: VA 0101249669)  | |
| Enumeration Date | 2008-06-27 | 
| Last Update Date | 2025-10-22 |