| NPI | 1023458163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX q9454) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102204438) |
| 207P00000X Emergency Medicine (Licence: LA 310647) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2019-06-22 |