| NPI | 1295267789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-43419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S1721) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-01-08 |