| NPI | 1386209815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0099660) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD479926) |
| 207P00000X Emergency Medicine (Licence: MD D0099660) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-08-05 |