| NPI | 1285686618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 40626) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR 7778) |
| 207P00000X Emergency Medicine (Licence: TN 40626) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-04-28 |