| NPI | 1104407931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 59644) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01094000A) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-06-25 |