| NPI | 1669080172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 13820996-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2026-0390) |
| 207R00000X Internal Medicine (Licence: MI 4351046952) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2026-08-03 |