NPI | 1750670196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: TX Q5549) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2014-0614) |
207P00000X Emergency Medicine (Licence: TX Q5549) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2022-06-27 |