| NPI | 1720547748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 06148) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02008487A) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-11-10 |