| NPI | 1861873259 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S0137) | 
| Additional Taxonomies | 282N00000X General Acute Care Hospital | 
| Enumeration Date | 2015-06-11 | 
| Last Update Date | 2020-06-12 |