| NPI | 1104355064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T2982) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A159671) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2025-08-11 |