| NPI | 1033566476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R7979) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC MD82020) |
| 207P00000X Emergency Medicine (Licence: FL ME139350) | |
| 207P00000X Emergency Medicine (Licence: AL MD.38122) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2019-06-28 |