| NPI | 1700317807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101268363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD047921) |
| 207P00000X Emergency Medicine (Licence: PA MD468343) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2026-01-17 |