| NPI | 1902365844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D94280) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD491757) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-01-28 |