| NPI | 1023338902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX p4922) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P4922) |
| 207Q00000X Family Medicine (Licence: TX P4922) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2021-01-19 |