| NPI | 1558821397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T4579) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 55642) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX T4579) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-05-19 |