| NPI | 1154648111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD448002) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2023-06-24 |