| NPI | 1598128043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T3492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T3492) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-03-24 |