| NPI | 1023320017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S1078) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101254235) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-05-21 |