| NPI | 1407982291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301068063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01078101A) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-12-15 |