| NPI | 1962999292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD24687) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10064725) |
| 207P00000X Emergency Medicine (Licence: TX T0554) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-07-01 |