| NPI | 1417511957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME162980) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0094002) |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: DC MD210001975) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2024-11-04 |