| NPI | 1538168505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E3302) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 81263) |
| 207P00000X Emergency Medicine (Licence: TX W6073) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2026-08-04 |