| NPI | 1841601994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 102163-875) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX V2595) |
| 208600000X Surgery (Licence: UT 9601949-1205) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-09-25 |