| NPI | 1073517686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NM MD2010-0102) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 18178) |
| 207R00000X Internal Medicine (Licence: TX N2073) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2024-09-16 |