| NPI | 1063778611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R6467) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 15850) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-04-03 |