| NPI | 1093219156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0090915) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U2901) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MD D0090915) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-05-16 |