| NPI | 1407592793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 73950) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 73950) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-07-01 |