| NPI | 1003847591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2000159814) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K1966) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-05-28 |