| NPI | 1306194675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 23101) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U7086) |
| 146N00000X Emergency Medical Technician, Basic (Licence: TX 760265) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2025-09-11 |