| NPI | 1477085033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U5105) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX U5105) |
| 207P00000X Emergency Medicine (Licence: VA 0101275508) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-03-05 |