| NPI | 1306596259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2025029184) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX v2148) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-09-04 |