| NPI | 1659357838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M0123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101287890) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2026-03-09 |