| NPI | 1013328111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q6134) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10050372) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2016-08-15 |