| NPI | 1811190796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 62199) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T1864) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: VA 0101243093) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-03-30 |