| NPI | 1811172547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME110810) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01070913A) |
| 207P00000X Emergency Medicine (Licence: MI 4301095881) | |
| 207P00000X Emergency Medicine (Licence: GA 062066) | |
| 207P00000X Emergency Medicine (Licence: AZ 65580) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2025-09-25 |