| NPI | 1699193771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S9197) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 288233) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2021-03-18 |