| NPI | 1568165280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 76391) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX V4186) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2026-05-29 |