| NPI | 1336420595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA mt200643) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T9038) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2025-10-02 |