| NPI | 1912223926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD0000048477) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 60246) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2022-03-29 |