| NPI | 1811142268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD29909) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD40813) |
| 207P00000X Emergency Medicine (Licence: VA 0101264492) | |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2025-11-05 |