| NPI | 1699589911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX 1190261) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1190261) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |