| NPI | 1407484074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 6803) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS19927) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-10-12 |