| NPI | 1932302783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA OP2020) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-01-17 |