NPI | 1356992887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U2448) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA13079) |
363A00000X Physician Assistant | |
Enumeration Date | 2019-09-25 |
Last Update Date | 2023-07-12 |