| NPI | 1679214993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 80444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX V0171) |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2025-07-11 |