| NPI | 1740818343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 5096) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 30441) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-09-02 |