| NPI | 1811631781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD600004135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0103639) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-07-07 |