| NPI | 1124608526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD70087997) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01093799A) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2026-05-29 |