| NPI | 1972180883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD600005609) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1018799) |
| 207P00000X Emergency Medicine (Licence: MN 71987) | |
| 207P00000X Emergency Medicine (Licence: MN 31656) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DC MD600005609) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-07-10 |