| NPI | 1588046114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 11198046-8905) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 12288A) |
| 207P00000X Emergency Medicine (Licence: UT 11198046-1205) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2025-01-16 |