| NPI | 1295146447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 87869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R6391) |
| 207P00000X Emergency Medicine (Licence: NY 303888) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2023-10-18 |