| NPI | 1790349595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 4783) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T4337) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-04-30 |