| NPI | 1275916603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 52909) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084479A) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2021-06-08 |