| NPI | 1740572809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-37197) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10040568) |
| 207P00000X Emergency Medicine (Licence: TX P5105) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2025-09-15 |