| NPI | 1194112805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 26996) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R3949) |
| 207P00000X Emergency Medicine (Licence: CA C199871) | |
| 207P00000X Emergency Medicine (Licence: AZ 75635) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2025-04-15 |