| NPI | 1558893982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 290877) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S5599) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2026-02-11 |