| NPI | 1902543192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 338528) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MTL500001859) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-07-09 |