| NPI | 1629822127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 783632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX W7411) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2026-07-08 |