| NPI | 1326462391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R8975) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020977) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2026-07-08 |