| NPI | 1043707045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S8889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10064728) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2026-01-30 |