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 | 2025-07-17 |