| NPI | 1801231451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 54807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT Med-Res-Lic 42275) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2016-12-20 |