| NPI | 1225611544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-26170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R78557) |
| 207P00000X Emergency Medicine (Licence: AZ 69580) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2026-04-05 |