| NPI | 1114210200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102204287) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T6310) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-02-05 |