| NPI | 1679885644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S7075) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102203214) |
| 207P00000X Emergency Medicine (Licence: MO 2015040163) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2024-11-05 |