| NPI | 1083278022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S9516) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10066791) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2023-09-11 |