| NPI | 1124375761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61001277) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2025-04-18 |