| NPI | 1699192625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U0735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV ll2587) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-03-08 |