| NPI | 1710186077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 58515) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 71274) |
| 207P00000X Emergency Medicine (Licence: VA 0101266065) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2019-05-13 |