| NPI | 1639254063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P2336) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS9966) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX P2336) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-06-23 |