| NPI | 1861874497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2022011849) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R5847) |
| 207P00000X Emergency Medicine (Licence: TN 59354) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-09-14 |