| NPI | 1497252456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S8079) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP1678807) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-03-05 |