| NPI | 1497902498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N1422) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10025438) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2023-11-22 |