| NPI | 1740717008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T5041) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 301198-01) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MN 68117) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX T5041) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2025-04-08 |