| NPI | 1891156709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM DO2022-0087) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R5844) |
| 208D00000X General Practice (Licence: TX R5844) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-06-23 |