| NPI | 1598253114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T4828) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101271264) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-09-05 |