| NPI | 1659762425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD210002286) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S9269) |
| 207P00000X Emergency Medicine (Licence: TX S9269) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2022-05-19 |