| NPI | 1366905804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD210002441) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D95674) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-08-06 |