| NPI | 1639400518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P2663) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10030807) |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2022-01-24 |