| 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 |