| NPI | 1801425525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2023019406) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 4657) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2023-07-10 |