| NPI | 1124109814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V5889) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 34848) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-04-30 |