| NPI | 1982612305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 61119928) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D90079) |
| 207P00000X Emergency Medicine (Licence: IN 01084225A) | |
| 207P00000X Emergency Medicine (Licence: GA 54020) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-04-29 |