| NPI | 1518155829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T2741) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 202559) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2026-07-07 |