| NPI | 1972090108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 64613) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 64613) |
| 207P00000X Emergency Medicine (Licence: AL 38962) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-04-25 |