| NPI | 1699769141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX J3169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J3169) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2024-11-08 |