| NPI | 1598179343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 55721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL37202) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-03-23 |