| NPI | 1548551864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q1340) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.121571) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2025-04-09 |