| NPI | 1255692166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101259087) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01073760A) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-09-29 |