| NPI | 1972755106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD0000047011) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN MD0000047011) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2016-10-31 |