| NPI | 1629230891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C185170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N6009) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-10-14 |