| NPI | 1679007660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U9077) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2021-00594) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2024-08-05 |