| NPI | 1417395021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-16612) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL35669) |
| 207P00000X Emergency Medicine (Licence: CO CDRH.0056394) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-05-19 |