NPI | 1497349211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U1261) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: TX U1261) |
Enumeration Date | 2021-02-22 |
Last Update Date | 2024-10-28 |