| NPI | 1760532469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3816)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN9203)  | 
| 207P00000X Emergency Medicine (Licence: CO DR.0067154)  | |
| Enumeration Date | 2007-01-12 | 
| Last Update Date | 2023-03-01 |