| NPI | 1528484722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q4172) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 271629 DUP) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2024-02-27 |