| NPI | 1205522091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX W4919) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 6533) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2026-06-18 |