| NPI | 1457731879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 51068) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084398A) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2025-01-21 |