| NPI | 1902052038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3015) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA mt188730) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2024-09-16 |