| NPI | 1831873025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151016473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX W5406) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2026-06-04 |