| NPI | 1790006021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301096537) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01072788A) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-03-18 |