| NPI | 1609364819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V8173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 328769) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2025-10-08 |