| NPI | 1942829775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2023032964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01089068A) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2023-08-15 |