| NPI | 1881210425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 13290981-1205) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: UT 13290981-1205) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-08-23 |