| NPI | 1609238997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 66733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101266630) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-01-17 |