| NPI | 1851602908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N7482) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10032960) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-10-25 |