| NPI | 1043771652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T9179) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22321) |
| 208D00000X General Practice (Licence: PR 22321) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-08-23 |