| NPI | 1972895365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P6035) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD451484) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2025-10-15 |