| NPI | 1245736917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.38970) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T0945) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-08-13 |