| NPI | 1821593039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S3520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016025512) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-12-21 |