| NPI | 1295267946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 61030) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 390200000) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-09-22 |