| NPI | 1487358156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V9594) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM DO2026-0037) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2026-04-28 |