| NPI | 1639752983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 5681) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 111730) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2026-06-14 |