| NPI | 1639598964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD0000053916) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD53916) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-03-25 |