| NPI | 1023579281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S8737) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 65795) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-04-10 |