| NPI | 1932315983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3618) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT011316) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-03-10 |