| NPI | 1336643113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U2491) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 286663) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-08-08 |