| NPI | 1588078885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S1741) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN20106) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-04-07 |