| NPI | 1760820583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-10320) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 75549) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-07-22 |