| NPI | 1992149538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R2388) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL UO 3668) |
| 207P00000X Emergency Medicine (Licence: NY 207P0000X) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2023-10-27 |