| NPI | 1083140594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T0957) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 60485) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-11-22 |