| NPI | 1801425848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61534798) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T9818) |
| 207P00000X Emergency Medicine (Licence: WA 61534798) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-06-28 |