| NPI | 1043520489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 13789) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT M-11702) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2025-08-13 |