NPI | 1104386440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U2590) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 81290) |
Enumeration Date | 2019-03-22 |
Last Update Date | 2025-08-01 |