| NPI | 1811581390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T9055) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX T9905) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-07-25 |