| NPI | 1902475742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U9848) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2021022421) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-05-07 |