| NPI | 1972916559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101021264) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02007549A) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-12-29 |