| NPI | 1558855445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T1418) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10064724) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-06-09 |