| NPI | 1093248205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S3973) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME148452) |
| 207P00000X Emergency Medicine (Licence: VA 0101269337) | |
| 207P00000X Emergency Medicine (Licence: AL MD.41349) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-07-26 |