| NPI | 1235585795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61278021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01079939A) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-03-14 |