| NPI | 1871728543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101253379) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD042730) |
| 207P00000X Emergency Medicine (Licence: MD D0078516) | |
| Enumeration Date | 2009-05-23 |
| Last Update Date | 2021-06-03 |