| NPI | 1811317860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 63954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 17691) |
| 207P00000X Emergency Medicine (Licence: VA 0101261399) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-07-21 |