| NPI | 1679000723 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101274221) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101274221) | 
| 207P00000X Emergency Medicine (Licence: DC MD048025) | |
| Enumeration Date | 2017-05-20 | 
| Last Update Date | 2022-10-12 |