| NPI | 1679034870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T5504) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 328079) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-10-10 |