| NPI | 1598004087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 9550428-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2019045762) |
| 207P00000X Emergency Medicine (Licence: NM MD2017-0785) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2021-11-12 |