| NPI | 1952839086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S0400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10061475) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-09-21 |