| NPI | 1083302855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 37048) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 77086) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2026-06-28 |