| NPI | 1053157552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX BP10090179) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX BP10090179) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |