| NPI | 1497712780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M5070) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 36617) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CO 43697) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2026-01-22 |