| NPI | 1528379617 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02006663A) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2010019024) | 
| Enumeration Date | 2010-06-23 | 
| Last Update Date | 2022-05-04 |