| NPI | 1316300106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T8737) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D87725) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-11-08 |