| NPI | 1790366037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX W0660) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 8420) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-02-10 |