| NPI | 1538489851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R6388) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME118712) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-09-16 |