| NPI | 1215100839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 338161-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-33350) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2025-12-09 |