| NPI | 1740625946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R2063) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2015-00800) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-04-04 |