| NPI | 1588629372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX K5945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K5945) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2025-04-01 |