| NPI | 1689830424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301092687) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01094647A) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2025-10-10 |