| NPI | 1669103834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-54169) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-12361) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-05-28 |