| NPI | 1689813628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q0648) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME DO3834) |
| 207P00000X Emergency Medicine (Licence: IL 036126255) | |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2025-05-09 |