| NPI | 1689650780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0036396) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD32976) |
| 207P00000X Emergency Medicine (Licence: CT 56892) | |
| 207P00000X Emergency Medicine (Licence: VA 0101053834) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2021-05-31 |