| NPI | 1578267761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD494988) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX W0775) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-08-04 |