| NPI | 1376076232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 78935) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2024019056) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MO 2024019056) | |
| 207P00000X Emergency Medicine (Licence: TN 66676) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TN 66676) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2024019056) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2026-08-05 |