| NPI | 1710625371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U8424) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX U8424) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2025-06-30 |